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Dr. Vikas
Dr. Vikas, Psychiatrist
Category: Mental Health
Satisfied Customers: 2250
Experience:  MBBS ; M.D Psychiatry, MS. Health Informatics
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Hi my husband has major depression. He has been prescribed

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Hi my husband has major depression. He has been prescribed 100mg sertraline. he doesnt take his meds as he says they make him feel like a zombie, numb and he cant think. However when he stops taking them he sinks deeper and deeper into depression. What are other options that he could use that might not have the "zombie" side effects. Desperate!

Dr. Vikas :

Hello ! Thank you for your question, I’m Dr. Vikas (M.D Psychiatry) and I’ll try to help you today.

Dr. Vikas :

Depression can be treated either by medicines or Psychotherapy or a combination of both.

Dr. Vikas :

Some patients may experience sedation with Sertraline and as a result feel like a zombie because of the resulted tiredness, fatigue and sleepiness.

Dr. Vikas :

If this is the reason behind his tiredness, his doctor can consider switching him on another activating antidepressant like Fluoxetine or Bupropion which are activating antidepressant.

Dr. Vikas :

These antidepressants are specially useful in a patient complaining of fatigue, tiredness, poor concentration etc.

Customer:

would those drugs lessen the flat, zombie like side effects?

Dr. Vikas :

or alternatively, he can take sertraline at night if he is taking it during the day

Dr. Vikas :

yes, most likely, specially Bupropion

Customer:

he has tried taking it at night - doesnt help

Dr. Vikas :

OK, in that case, Bupropion is a very good option.

Dr. Vikas :

Even Fluoxetine can also be tried

Dr. Vikas :

in addition to medicines, he can also try Cognitive Behavior Therapy

Customer:

what would the brand name be for the bupropion?

Customer:

one of the brand names?

Dr. Vikas :

Wellbutrin

Dr. Vikas :

He can try CBT online for free

Dr. Vikas :

via a website

Customer:

are there any negative side effects for this drug?

Dr. Vikas :

well, most patients are able to tolerate it well.

Customer:

he did try oviden at one stage but it literally made him psychotic. His anger was off the charts.

Dr. Vikas :

OK,

Dr. Vikas :

Wellbutrin is a widely used antidepressant worldwide

Dr. Vikas :

and as I mentioned earlier, he can also try psychotherapy in addition

Dr. Vikas :

online

Customer:

i have never heard of doing it online - how does it work?

Dr. Vikas :

CBT can bring a long lasting benefit by changing his thinking pattern

Dr. Vikas :

I am giving you the link to that website

Dr. Vikas :

he simply have to register himself and start the modules.

Dr. Vikas :

MoodGYM: Welcome

Dr. Vikas :

A free self help program to teach cognitive behaviour therapy skills to people vulnerable to depression and anxiety.

Customer:

that is incredible. thanks for this - i am going to work through it with him

Dr. Vikas :

most welcome. :)

Dr. Vikas :

do you have any other question to ask?

Dr. Vikas :

I hope I’ve provided the information you were seeking, if not, please let me know so that l can continue to help you. If you need more help, please use the reply tab to continue our conversation.
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Kind regards


Vikas

Customer:

Thank you very much. Will do.

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